Organization Active NPI

Ft. Myers Women's Health Center, Inc.

  • Gynecology Physician
  • Fort Myers, FL
National Provider Identifier
1588812945
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
828 Issued in FL
Legal business name
FT. MYERS WOMEN'S HEALTH CENTER, INC.
Practice address
3900 Broadway
BLDG C
Fort Myers, FL 33901-8193
Phone
(239) 936-4497
Fax
(941) 936-0161
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marisella Marengo
Title
Billing and Contract Manager
Phone
(727) 442-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 828 FL Primary

Addresses

Primary practice location

3900 Broadway
BLDG C
Fort Myers, FL 33901-8193

Mailing address

2106 Drew St
Ste 103
Clearwater, FL 33765-3238
Phone (727) 442-0445

National Provider Directory

National Provider Directory

Locations

3900 Broadway
Ste C
Fort Myers, FL 33901
Phone (239) 936-4494

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1588812945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW ST",
            "address_2": "STE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-442-0445",
            "fax_number": "727-447-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "BLDG C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-936-4497",
            "fax_number": "941-936-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. MYERS WOMEN'S HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MARENGO",
        "authorized_official_first_name": "MARISELLA",
        "authorized_official_title_or_position": "BILLING AND CONTRACT MANAGER",
        "authorized_official_telephone_number": "727-442-0445"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.